Health System Specialist skilled in talent recruiting, asset protection, financial management and customer relations. Innovative executive and marketing professional experienced in high-volume, multi-unit, retail and business operations. Desires a high-level position in a professional corporate environment. Visionary Operations Executive with solid experience managing all levels of multiple projects including budgeting and administration.
Extensive knowledge and experience of health administration and managed health care programs and practices as well as general clinical principles and practices as they relate to a military and civilian environment. Oversight of budget in excess of $13M for military health care contract. Team member of business committee to ensure revenue sources and job requirements are met. Key adviser to Executive staff, quality function, medical management and access to care business committees. Selected to brief base executive staff on health care contractual benefits and requirements, Medicare, civilian Insurance benefits, Medicaid, and veterans benefits. Provide counseling and assistance to beneficiary problems and related benefits available under such programs as Veterans Administration, Medicare, Medicaid, Federal Employee Health Benefit Program, group Insurance programs, local and private insurance. Coordinate with physicians, utilization nurses, Medical Group Commander, Flight Commanders, Chief of Medical Staff and civilian providers' network to integrate best method and most cost effective method for patient care. Served as Debt Collection Assistant Officer, Beneficiary Counselor and Assistance Coordinator and Medical Group Patient Advocate providing troubleshooting methods and resolution for beneficiaries and providers to include resolution to medical billing and collections. Trained support staff on accounts receivable, billing, patient access, medical records, coding, compliance and insurance verification. TRICARE Operations and Patient Administration flight commander back-up, providing supervision and management to all clinic areas of administration to include medical records, referrals, billing, medical evaluation boards, resource management, customer service, clerical staffing, and HIPPA. Key staff in the budget forecasts, cost projections, financial exhibits, manpower, POM and unfunded justifications; working closely with Resource management. Budgeting for funds involving Operations & Maintenance and Communications-computers; knowledge of policies, processes, procedures, and regulations governing budgetary processes. Exceptional skills to gather, assemble, and analyze data to prepare budget estimates, develop alternatives and make recommendations to resolve budget/funding problems. Adviser to management and employees on evaluating conduct, performance, attendance, grievance leave, labor laws, benefits, supervision, employee relations. Knowledge of Federal regulations, policies and directives.
Additional work experience upon request.
Minor in business administration
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